Santa Rosa Memorial Hospital
1165 Montgomery Dr, Santa Rosa, CA · Providence · · NPI 1134152549
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Thorcscpy w/biop pleura CPT 32609 | not published | not published | $5,318.00 – $11,377.00 | 5 |
| Thrcspy w/diag bp lng inf uni CPT 32607 | not published | not published | $5,318.00 – $15,092.89 | 5 |
| Thrcspy w/diag bp lng nod uni CPT 32608 | not published | not published | $5,318.00 – $15,092.89 | 5 |
| Throat x-ray & fluoroscopy CPT 70370 | not published | not published | $121.09 – $327.16 | 4 |
| Thrombectmy crnry perq mechanical CPT 92973 | $2,974.32 | $5,832.00 | $1,716.00 – $9,773.00 | 2 |
| Thrombectomy/inf pq dialysis circuit CPT 36904 | $5,525.85 | $10,835.00 | $4,042.00 – $15,575.00 | 5 |
| Thrombectomy/inf pq dialysis circuit w/pta CPT 36905 | $11,198.58 | $21,958.00 | $8,992.00 – $20,488.00 | 5 |
| Thrombectomy/inf pq dialysis circuit w/stent plcmnt CPT 36906 | $17,905.08 | $35,108.00 | $5,318.00 – $25,815.00 | 5 |
| Thromb/endar/neck inc/car/vert/subc35301 CPT 35301 | not published | not published | $5,530.00 – $9,773.00 | 3 |
| Thrombin time CPT 85670 | $262.14 | $514.00 | $5.65 – $50.76 | 4 |
| Thrombin time titer CPT 85675 | not published | not published | $6.71 – $60.15 | 4 |
| Thromboendarterectomy common femoral CPT 35371 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Thromboendarterectomy including patch graft if preformed; CPT 35321 | not published | not published | $4,233.00 – $15,575.00 | 5 |
| Thromboendarterectomy including patch graft; iliac 35351 CPT 35351 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Thromboendarterectomy sfa CPT 35302 | not published | not published | $6,732.00 – $9,773.00 | 2 |
| Thrombomodulin CPT 85337 | not published | not published | $16.92 – $88.57 | 4 |
| Thromboplastin inhibition CPT 85705 | not published | not published | $9.44 – $74.45 | 4 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | $35.02 | $68.66 | $6.34 – $56.78 | 4 |
| Thromboxane urine CPT 84431 | not published | not published | $34.41 – $96.08 | 4 |
| Thumb fusion with graft CPT 26820 | not published | not published | $4,812.00 – $11,377.00 | 5 |
| Thumb fusion with graft CPT 26842 | not published | not published | $4,233.00 – $11,377.00 | 5 |
| Thumb tendon transfer CPT 26510 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Thymectomy prtl/tot rad medstnl dsj 60522 CPT 60522 | not published | not published | $2,995.00 – $9,773.00 | 3 |
| Thymectomy prtl/tot transcervical appr 60520 CPT 60520 | not published | not published | $2,238.00 – $11,377.00 | 5 |
| Thymectomy prtl/tot without rad medstnl dsj 60521 CPT 60521 | not published | not published | $2,238.00 – $9,773.00 | 3 |
| Thyroglobulin antibody CPT 86800 | $30.57 | $59.95 | $15.59 – $139.56 | 4 |
| Thyroidectomy inc substrnl split/trans approch 60270 CPT 60270 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Thyroid imaging CPT 78013 | $572.22 | $1,122.00 | $556.27 – $1,036.21 | 4 |
| Thyroid met imaging CPT 78015 | not published | not published | $556.27 – $603.63 | 4 |
| Thyroid met imaging/studies CPT 78016 | not published | not published | $556.27 – $834.90 | 4 |
| Thyroid mets imag whole body CPT 78018 | $4,825.11 | $9,461.00 | $755.17 – $1,188.59 | 4 |
| Thyroid met uptake CPT 78020 | not published | not published | $178.15 – $401.47 | 2 |
| Thyroid (TSH) Test CPT 84443 | $275.91 | $541.00 | $16.46 – $147.48 | 4 |
| Thyroid Ultrasound CPT 76536 | $1,216.35 | $2,385.00 | $145.47 – $357.30 | 4 |
| Thyroid uptake measurement CPT 78012 | not published | not published | $509.74 – $589.01 | 4 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | not published | not published | $711.29 – $4,469.23 | 4 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $49.40 – $375.62 | 4 |
| Thyroxine binding globulin (tbg) CPT 84442 | $63.72 | $124.95 | $14.48 – $121.25 | 4 |
| Tibial arthroscopy/surgery CPT 29855 | not published | not published | $4,233.00 – $15,575.00 | 5 |
| Tibial arthroscopy/surgery CPT 29856 | not published | not published | $4,233.00 – $18,229.15 | 5 |
| Tib/per revasc stent & ather 37231 CPT 37231 | $30,382.74 | $59,574.00 | $4,233.00 – $89,248.00 | 5 |
| Tib/per revasc stnt & ather CPT 37235 | not published | not published | $4,042.00 – $15,575.00 | 4 |
| Tib/per revasc w/ather add-on 37233 CPT 37233 | $12,591.90 | $24,690.00 | $4,042.00 – $20,488.00 | 4 |
| Tic-brn enceph vac 0.25ml im CPT 90626 | not published | not published | $402.01 – $402.01 | 1 |
| Tic-brn enceph vac 0.5ml im CPT 90627 | not published | not published | $402.01 – $402.01 | 1 |
| Tigecycline injection HCPCS J3243 | not published | not published | $0.60 – $1.39 | 3 |
| Tilt table study CPT 93660 | $1,620.27 | $3,177.00 | $519.24 – $1,716.00 | 3 |
| Tinzaparin sodium injection HCPCS J1655 | not published | not published | $5.38 – $7.65 | 2 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | not published | not published | $1.21 – $7.63 | 3 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $691.00 – $1,244,357.91 | 4 |
| Tis cgen car anomal 1st shnt CPT 33745 | not published | not published | $2,238.00 – $12,568.00 | 3 |
| Tis cgen car anomal ea addl CPT 33746 | not published | not published | $691.00 – $12,568.00 | 3 |
| Tis clt agrft f/s/n/h/f/g ad CPT 15156 | not published | not published | $1,716.00 – $12,908.00 | 4 |
| Tis clt agrft f/s/n/h/f/g ea CPT 15157 | not published | not published | $1,716.00 – $12,908.00 | 4 |
| Tis cltr skn agrft t/a/l add CPT 15151 | not published | not published | $1,716.00 – $12,908.00 | 4 |
| Tis cltr skn agrft t/a/l ea CPT 15152 | not published | not published | $1,716.00 – $12,908.00 | 4 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $192.20 – $405.60 | 4 |
| Tiss ex molecul study add-on CPT 88388 | not published | not published | $24.99 – $24.99 | 1 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $29.86 – $29.86 | 1 |
| Tissue culture placenta CPT 88235 | not published | not published | $147.29 – $969.03 | 4 |
| Tissue culture skin/biopsy CPT 88233 | not published | not published | $137.92 – $1,048.50 | 4 |
| Tissue culture tumor CPT 88239 | not published | not published | $144.57 – $1,252.88 | 4 |
| Tissue exam koh skin/hair/nails CPT 87220 | not published | not published | $4.18 – $37.46 | 4 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | $10,042.18 | $19,690.55 | $137.49 – $260.21 | 4 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | $1,737.60 | $3,407.05 | $21.49 – $21.49 | 1 |
| Tissue transglutaminase iga CPT 86364 | $61.71 | $121.00 | $11.30 – $27.24 | 4 |
| Tl-201 thallium diag per mci HCPCS A9505 | not published | not published | $39.06 – $92.49 | 2 |
| Tlh uterus 250 g or less CPT 58570 | not published | not published | $4,812.00 – $15,575.00 | 5 |
| Tlh uterus over 250 g CPT 58572 | not published | not published | $4,812.00 – $15,575.00 | 5 |
| Tlh w/t/o 250 g or less CPT 58571 | not published | not published | $4,812.00 – $15,575.00 | 5 |
| Tlh w/t/o uterus over 250 g CPT 58573 | not published | not published | $4,812.00 – $15,575.00 | 5 |
| Tlso 3mod sacro-scap pre HCPCS L0462 | $892.50 | $1,750.00 | not published | 0 |
| Tmvr w/prosthetic ring 33426 CPT 33426 | not published | not published | $3,423.00 – $12,568.00 | 3 |
| Tmvr w/rad reconst w or without ring 33427 CPT 33427 | not published | not published | $4,233.00 – $12,568.00 | 3 |
| Tnot opn elbw to sho ea tdn CPT 24310 | not published | not published | $3,423.00 – $6,732.00 | 5 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $124.49 – $124.49 | 1 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | $84.15 | $165.00 | $3.19 – $9.64 | 3 |
| Tobramycin non-comp unit HCPCS J7682 | $53.10 | $104.11 | $29.61 – $64.36 | 3 |
| Tobramycin peak therapeutic drug level CPT 80200 | $473.28 | $928.00 | $15.81 – $141.45 | 4 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | $5,938.96 | $11,645.02 | $4.73 – $12.64 | 4 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $8.72 – $16.28 | 3 |
| Toe joint transfer CPT 26556 | not published | not published | $6,682.00 – $15,575.00 | 5 |
| Tomosynthesis breast diagnostic left HCPCS G0279 | $61.20 | $120.00 | $13.63 – $2,995.00 | 5 |
| Tomosynthesis breast screen bilateral CPT 77063 | $61.20 | $120.00 | $32.31 – $254.49 | 4 |
| Tongue and neck surgery CPT 41135 | not published | not published | $3,423.00 – $9,773.00 | 3 |
| Tongue base vol reduction CPT 41530 | not published | not published | $2,995.00 – $6,732.00 | 5 |
| Tongue biopsy; posterior one-third 41105 CPT 41105 | not published | not published | $2,995.00 – $4,737.00 | 5 |
| Tongue jaw & neck surgery CPT 41155 | not published | not published | $4,233.00 – $12,568.00 | 3 |
| Tongue mouth jaw surgery CPT 41150 | not published | not published | $3,423.00 – $9,773.00 | 3 |
| Tongue mouth neck surgery CPT 41153 | not published | not published | $3,423.00 – $9,773.00 | 3 |
| Tongue removal neck surgery CPT 41145 | not published | not published | $4,233.00 – $9,773.00 | 3 |
| Tongue suspension CPT 41512 | not published | not published | $3,423.00 – $11,377.00 | 5 |
| Tongue to lip surgery CPT 41510 | not published | not published | $2,238.00 – $4,737.00 | 5 |
| Tonsillectomy (age 12+) CPT 42826 | not published | not published | $4,233.00 – $9,773.00 | 5 |
| Tonsillectomy (child under 12) CPT 42825 | not published | not published | $4,233.00 – $9,773.00 | 5 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | $613.69 | $1,203.31 | $2.55 – $40.15 | 3 |
| Topotecan oral HCPCS J8705 | not published | not published | $98.30 – $268.54 | 4 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $39.19 – $84.07 | 4 |
| Tot abd hyst/par vag/pelv node sam 58200 CPT 58200 | not published | not published | $2,238.00 – $25,815.00 | 4 |
| Total hip arthroplasty CPT 27132 | not published | not published | $4,233.00 – $20,488.00 | 5 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.